One Life Youth and Family Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ONE LIFE YOUTH AND FAMILY SERVICES LLC

Practice address

2676 W Main St
Rock Hill, SC 29732-8910

Phone

(704) 345-2032

NPI assigned

Mar 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wayne Levonne Burch Sr.

Title

Cfo

Phone

(704) 345-2032

Specialties & licenses 5

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1992122113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 SHIRAS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282739606",
            "telephone_number": "980-333-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 W MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328910",
            "telephone_number": "704-345-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIFE YOUTH AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "LEVONNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-345-2032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.